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Dr. Radu Alexandru Pintilie
THE BIRTH CANAL Dr. Radu Alexandru Pintilie
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THE BIRTH CANAL - the bony pelvis -
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The true pelvis is an obliqualy truncated, bent cylinder
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The pelvis forms a bony ring through which the body weight is transmitted to the lower extremities
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Sacroiliac syncondroses
Symphisys pubis Sacrospinous ligament Sacrotuberous ligament
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Sacrospinous ligament
Sacrotuberous ligament
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5 1=11 cm 2=12.5 cm 3=13.5 cm 5= cm
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PELVIC TYPES 1 - gynaecoid 2 - android 3 - platypelloid 4 - anthropoid
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True conjugate Diagonal conjugate – cm Obstetrical conjugate ˃10 cm
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11.5 cm
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11 cm 9 cm
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1 – first plane of Hodge 2 – the descending cilinder( Pigeaud ) 3 – the releasing triangle ( Fochier )
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PELVIMETRY The romb of Michaelis The base of Trillat triangle
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PELVIMETRY
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PELVIMETRY
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-soft tissues of the pelvis-
THE BIRTH CANAL -soft tissues of the pelvis-
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FETUS AT TERM -fetus as a passenger-
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The sacro-femural diameter (9 cm)
The sacro-pretibial diameter (12 cm) The bitrohanterian diameter (9-10 cm)
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